Risk Factors for Type 2 Diabetes Among Korean Adults in 2014
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
The purpose of this study was to identify risk factors for type 2 diabetes (T2D) in Korean adults. The data were divided into two types of variables ((i) socioeconomic and demographic factors and (ii) behavioral risk factors) using data obtained through the Korea National Health and Nutrition Examination Survey (2014). Multiple logistic regression analyses were performed to identify risk factors for T2D; the analysis was performed in three steps: socioeconomic and demographic factors (model 1), behavior risk factors (model 2), and socioeconomic, demographic factors and behavior risk factors (model 3). Model 3 revealed that being older (odds ratio, OR 6.58 (95% confidence interval, CI=3.77~11.50) 40~59 years old, OR 14.31 (95% CI=7.96~25.73) ≥60 years old, respectively), lower income (OR 1.50 (95% CI=1.13~ 2.00)), smoking in the past (OR 2.02 (95% CI=1.59~2.57)), abdominal obesity (OR 1.97 (95% CI=1.48~2.64)), having a family history of T2D (OR 2.80 (95% CI=2.12~3.70)), or having a co-morbid condition (OR 4.82 (95% CI=3.08~ 7.55)) increased the risk of T2D. The interaction of waist circumference and co-morbidity significantly increased the risk of T2D. The OR for the interaction of WC and co-morbidity for T2D compared to normal subjects and those without comorbidities were 9.99 ((95% CI=6.63~15.05) normal person and having comorbidity), 2.56 ((95% CI=1.95~3.35) abdominal obesity and no comorbidity), 9.58 ((95% CI=6.42~14.28) abdominal obesity and having comorbidity).
Abstract
The purpose of this study was to identify risk factors for type 2 diabetes (T2D) in Korean adults. The data were divided into two types of variables ((i) socioeconomic and demographic factors and (ii) behavioral risk factors) using data obtained through the Korea National Health and Nutrition Examination Survey (2014). Multiple logistic regression analyses were performed to identify risk factors for T2D; the analysis was performed in three steps: socioeconomic and demographic factors (model 1), behavior risk factors (model 2), and socioeconomic, demographic factors and behavior risk factors (model 3). Model 3 revealed that being older (odds ratio, OR 6.58 (95% confidence interval, CI=3.77~11.50) 40~59 years old, OR 14.31 (95% CI=7.96~25.73) ≥60 years old, respectively), lower income (OR 1.50 (95% CI=1.13~ 2.00)), smoking in the past (OR 2.02 (95% CI=1.59~2.57)), abdominal obesity (OR 1.97 (95% CI=1.48~2.64)), having a family history of T2D (OR 2.80 (95% CI=2.12~3.70)), or having a co-morbid condition (OR 4.82 (95% CI=3.08~ 7.55)) increased the risk of T2D. The interaction of waist circumference and co-morbidity significantly increased the risk of T2D. The OR for the interaction of WC and co-morbidity for T2D compared to normal subjects and those without comorbidities were 9.99 ((95% CI=6.63~15.05) normal person and having comorbidity), 2.56 ((95% CI=1.95~3.35) abdominal obesity and no comorbidity), 9.58 ((95% CI=6.42~14.28) abdominal obesity and having comorbidity).
참고문헌 (20)
- "The top 10 causes of death" (2016)[URL]
- International diabetes federation annual report 2014, "International Diabetes Federation", International Diabetes Federation, ~ (2014)
- "Causes of death statistics 2014" (2016)[URL]
- Korean Diabetes Association, "Korean diabetes fact sheet 2015", Journal of Korean Diabetes, 315, pp.24~26 (2015)
- "World economic outlook" (2016)[URL]
- Kim SW, "Contrasting socioeconomic profiles related to healthier lifestyles in China and the United States", Am J Epidemiol, 159, pp.184~191 (2004)
- 부선주, "성인 당뇨병 환자의 혈당, 혈압 및 지질 조절률과 그 영향요인", 성인간호학회지, 24(4), pp.406~416 (2012), 한국성인간호학회
- 박수경, "제2형 당뇨병환자의 사망원인에 대한 10년간의 추세 변화 -부산 시내 6개 종합병원을 중심으로-", Diabetes and Metabolism Journal, 33(1), pp.65~72 (2009), 대한당뇨병학회
- Centers for Disease Control and Prevention, "Health status of Cambodians and Vietnamese-selected communities, United States, 2001-2002", MMWR Morb Mortal Wkly Rep, 53, pp.760~765 (2004)
- McNeely MJ, "Type 2 diabetes prevalence in Asian Americans", Diabetes Care, 27, pp.66~69 (2004)
- Singh GK, "Trends and disparities in socioeconomic and behavioral characteristics, life expectancy and cause-specific mortality of native-born and foreign-born populations in the United States, 1979-2003", Int J Epidemiol, 35, pp.903~919 (2006)
- 정해랑, "Risk factors of type 2 diabetes among Korean adults: The 2001 Korean national health and nutrition examination survey", Nutrition Research and Practice, 3(4), pp.286~294 (2009), 한국영양학회
- "The sixth Korea national health and nutrition examination survey (KNHANES VI-2)" (2016)[URL]
- World Health Organization, "Definition, diagnosis and classification of diabetes millets and its complications", WHO, NCS, pp.99.2, 1999[DOI]
- Lee SY, "Cut-off points of waist circumference for defining abdominal obesity in the Korean population", Korean J Obes, 15, pp.1~9 (2006)
- Obesity. Preventing and managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series, "World Health Organization", ~ (2000)
- Dietary reference intakes for Koreans 2015, "Ministry of Health and Welfare", The Korean Nutrition Society, ~ (2016)
- Kant AK, "Indexes of overall diet quality: a review", J Am Diet Assoc, 96, pp.785~791 (1996)
- Hosmer DW, "Applied logistic regression" (2000), John Wiley & Sons Inc
- Nagelkerke NJD, "A note on a general definition of the coefficient of determination", Biometrika, 78, pp.691~692 (1991)